| NPI | 1750941464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801121272) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2026-04-19 |